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P.O. Box 264Hot Sulphur Springs, CO 80451
An Equal Opportunity Employer
Equal access to programs, services, and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify Human Resources at 970-725-3347.
If you are under 18 and it is required, can you furnish a work permit?
Driver's License Number if driving is an essential job function:
Please upload a copy of your motor vehicle record, or email to CReynolds@co.grand.co.us.
If you need to list additional Employers / Employment History, please use the "Any Additional Comments" field at the end of the application to provide the information.
Summarize any special training, skills, licenses and/or certificates that may qualify you as being able to perform job related functions in the position for which you are applying.
If job related, list:A) Last three (3) schools attended, starting with the most recent;B) List number of years completed;C) Indicate degree or diploma earned, if any;D) Grade Point Average (GPA) or Class Rank;E) Major field of study;F) Minor field of study (if applicable)
If you need to list additional Schools / Education to list, please use the "Any Additional Comments" field at the end of the application to provide the information.
List name and phone number for three business / work references who are NOT related to you, and who are NOT previous supervisors. If not applicable, list three school or personal references who are NOT related to you.
List professional, trade business or civic associations and any offices held.EXCLUDE MEMBERSHIPS THAT WOULD REVEAL RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, CITIZENSHIP, AGE, MENTAL OR PHYSICAL DISABILITIES, VETERAN/RESERVE NATIONAL GUARD OR ANY OTHER SIMILARLY PROTECTED STATUS.
List special accomplishments, publications, awards, etc.EXCLUDE MEMBERSHIPS THAT WOULD REVEAL RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, CITIZENSHIP, AGE, MENTAL OR PHYSICAL DISABILITIES, VETERAN/RESERVE NATIONAL GUARD OR ANY OTHER SIMILARLY PROTECTED STATUS.
List any additional information you would like us to consider. If you have additional Employers or Education to list, please do so here.
I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer’s service, whenever it is discovered. I expressly authorize without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law. I understand that in some of the positions with the County, if I am extended an offer of employment, it may be conditioned upon my successfully passing a pre-employment background investigation, credit check and alcohol/drug screening, and if applicable to the position, physical examination and/or tests. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the County Manager. I also understand that if I am hired, I will be required to provide social security card, proof of identity and legal authority to work in The United States and that federal immigration laws require me to complete an I-9 Form in this regard.
I certify that I have read fully understand and accept all terms of the foregoing Applicant Statement.
DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.
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